Application and effectiveness of narrative medicine in clinical internship: with department of thoracic surgery as an example
10.3760/cma.j.cn116021-20220821-01385
- VernacularTitle:叙事医学在临床实习中的应用及效果评价研究：以胸外科为例
- Author:
Ju ZHU
1
;
Huanwen CHEN
Author Information
1. 重庆医科大学附属第一医院胸心外科，重庆 400016
- Keywords:
Narrative medicine;
Thoracic surgery;
Clinical internship;
Medical humanistic education
- From:
Chinese Journal of Medical Education Research
2023;22(8):1201-1205
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of narrative medicine teaching on the academic performance and empathy ability of clinical interns in department of thoracic surgery.Methods:A total of 74 interns in the department of thoracic surgery, with the "5+3" integration major of clinical medicine in Chongqing Medical University, were divided into observation group and control group, with 37 interns in each group. The interns in the control group received traditional teaching, and those in the observation group received narrative medicine teaching in addition to traditional teaching. The two groups were compared in terms of department examination score, level of humanistic concern, empathy level, ability to handle doctor-patient relationship, degree of satisfaction with teaching, discipline interest, and job intention after graduation. SPSS 21.0 was used to perform the t-test and chi-square test. Results:Compared with the control group, the observation group had significantly better theoretical score [(85.16±10.04) vs. (79.73±8.27)], operational skill score [(85.32±8.77) vs. (79.70±7.56)], level of humanistic concern [(3.78±0.95) vs. (3.24±1.04)], empathy scale score [(104.89±12.90) vs. (96.57±11.00)], results of the questionnaire on doctor-patient communication skills, confidence in professional practice, and doctor-patient orientation [(52.59±10.15) vs. (72.59±5.86)], degree of satisfaction with teaching (89.2% vs. 64.8% in the control group), discipline interest [(3.86±1.08) vs. (3.05±1.12)], and job intention after graduation (29.7% vs. 8.1%).Conclusion:Narrative medicine introduced into clinical practice teaching can improve the effectiveness of teaching, the empathy ability of students, and the degree of satisfaction with teaching.
